综合性心理干预联合药物治疗对脑血管病抑郁症患者的心理状态和生活质量的影响

Effects of comprehensive psychological intervention combined with drugs therapy on mental status and quality of life in patients with cerebrovascular disease and depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(1)
作者
作者单位

四川省三台县人民医院 ;

摘要
摘要:目的:探讨综合性心理干预在脑血管病抑郁症患者的心理状态、认知功能和生活质量的影响观察。方法:选取我院2015年1月至2016年1月期间收治的100例脑血管病抑郁症患者作为研究对象,按随机的方法分为观察组(n=50)和对照组(n=50),两组患者均接受脑血管疾病的基础治疗(包括改善微循环、对症治疗及护理等),并予以口服舍曲林药物进行抗抑郁治疗,观察组在此基础上加以实施综合性心理干预进行治疗。分别采用汉密尔顿焦虑量表(HAMA)、抑郁自评量表(SDS)、焦虑自评量表(SAS)以及蒙哥马利抑郁量表(MARDS)的分值变化对两组患者治疗前后的心理状态进行评定,并采用简易智能量表(MMSE)对两组患者的认知功能进行评估,以及随访一年的生活质量。结果:经比较,观察组患者治疗后的HAMA、SDS、SAS和MARDS评分低于治疗前和对照组(P<0.05);同时,治疗前,两组患者的MMSE评分明显低于治疗后,且观察组更低于对照组(P<0.05);经随访的一年发现,观察组患者的生活质量评分明显高于对照组,差异显著(P<0.05)。结论:在常规抗抑郁药物的基础上加以实施综合下心理干预可以有利于改善脑血管病抑郁症患者不良心理状态,同时提供了患者认知功能和预后的生活质量,因而值得推广。
Abstract
Abstract: Objective: To investigate the effect of antidepressant and psychological intervention on cognitive function and quality of life in patients with cerebrovascular disease and depression. Methods: in our hospital from January 2015 to January 2016 were treated 100 cases of cerebrovascular disease in patients with depression as the research object, according to the random method is divided into observation group (n=50) and control group (n=50), the two groups of patients received basic treatment of cerebrovascular disease (including improving microcirculation, symptomatic treatment and nursing etc.), and antidepressant therapy to oral drug sertraline, the observation group based on the implementation of comprehensive psychological intervention treatment. Using Hamilton Anxiety Scale (HAMA), self rating Depression Scale (SDS), self rating Anxiety Scale (SAS) and Montgomerie Depression Scale (MARDS) assessed the scores of mental status changes before and after treatment in two groups, and the simple Intelligence Scale (MMSE) to assess the cognitive function two groups were followed up for one year, and the quality of life. Results: by comparison, groups of patients after treatment of HAMA, SDS, SAS and MARDS score were lower than that before treatment and the control group (P<0.05); at the same time, two groups of patients before treatment, MMSE score was significantly lower after treatment, and the observation group than in control group (P<0.05); after one year follow-up found that life the quality score of observation group was significantly higher than the control group, the difference was significant (P<0.05). Conclusion: Based on conventional antidepressant drugs to implement comprehensive under psychological intervention can be beneficial to improving the cerebrovascular disease depression patients with adverse psychological state, while providing quality of life in patients with cognitive function and prognosis, which is worthy of promotion.
关键词
关键词:综合性心理干预;脑血管;抑郁;心理状态
KeyWord
Keyword: comprehensive psychological intervention; cerebrovascular; depression; psychological status
基金项目
页码 131-133
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廖嘉川,黄泗霖*,许伍环,邓超. 综合性心理干预联合药物治疗对脑血管病抑郁症患者的心理状态和生活质量的影响 [J]. 国际精神病学杂志. 2018; 45; (1). 131 - 133.

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